New CM needs help!

dria · Dec 15, 2008

get a new preceptor. seriously, some people just aren't equipped to precept others. or it could just be a poor match between the two of you-maybe your brains don't work the same.

truly, this is not something you can figure out on your own.

there are so many possibilities, maybe you could ask more specific questions?

delta32 · Dec 17, 2008

ekks, you need to speak with your manager this will not work. depending on what your position is you need to know the in's and out's of insurance. Are you doing concurrent reviews or the actual case management for diseases?

scallisto · Dec 17, 2008

My manager is the CM who trained and hired me! I bought The Case Manager's Handbook hoping it will help! I really want to learn case management and be successful at it! My position is for case management of diseases not review. I'm not real sure how to approach this issue?

dria · Dec 18, 2008

so you have just been walking thru existing cases? are you not listening to live calls? how can you be expected to open a new case when you have not seen it done?? as a new cm, it's likely that all you will be doing for a little while is opening new cases!

(i'm holding back my rant on this because you are getting such a raw deal it isn't even funny. at the insurer i work for, the clincal managers don't even have caseloads!!)

maybe you can go back to the trainer who did the classroom portion? what a sticky situation you are in!

mullahy's handbook is an excellent resource, i learned a lot from it. but (imho and i know i'm repeating myself) you just can't teach yourself case management! having mentored many new hires, the key is walking thru each case together and problem solving. "showing" someone some cases that have already been worked just won't isn't going to cut it. additionally, each insurance company has their own "flavor" of case management.

please let us know how we can help you, and you may pm me at any time!

MaritesaRN · Dec 24, 2008

Hi all!
I am a new case manager for an insurance company. I have no experience in case management. I was given a 4 week orientation on the computer system and day to day operations. The CM training me showed me some examples of her cases but did not really start any "live"cases. I feel that I have absolutely no idea what I am doing and I don't like the feeling. Any suggestions for a new CM?

:smokin:Ask for a good mentor to walk this through w/ you. It is amazing what a difference a good mentor can do to your career. Unfortunately companies nowadays do not give enought training time and proper orientation...thye just do not understand that it is more cost efective if they train right ...from the start !!!!

nursemonika · Feb 12, 2009

Please see my reply under "Who Generally Has The Most Job Satisfaction?" You started your position in December....is it any better now? It takes a good 6 months to feel comfortable in that position, but that's with an excellent orientation program, and a good Mentor, neither of which you had. If you ever want to speak with me, just let me know, and I'll share my tel # with you. Good luck!

MaritesaRN · Feb 13, 2009

I am so happy to see nurses helping each other, and taking care of some issues that can be discussed openly in this forum. I love it.

In my case I seized up the situation, the system and realized I was up against most odds. The supervisor that got hired even made things worse. I have worked in UR , CM and evn D/c planning---- but the disrorganization of this hospital was just not acceptable. It was a profit hospital at that , so you would think that their system must be workable and realistic !

Know when to stay and when to run! If the facility or the department have a good communication in place , this could be worth staying and you could suggest some ideas for some change for efficiency and organization. Any process is always in an ongoing critique for improvement.